The following may be treated: Sequelae of cerebral palsy, skull-brain trauma (ECA), stroke and stroke (HCV) and brain malformations, hemiparesis, diparesis, paraparesis, tetraparesis, etc…
Deformities of the feet (equine feet, zambos, etc.), the hands (obstetric brachial paralysis), the neck (congenital torticollis) and others originating from spasticity or mixed forms.
One of the main aftermath of these pathologies is myofascial retractions that can form in the striatum muscles of the human body.
For the first 2 years after receiving brain damage, muscles over-contracted by continued spasticity (muscle hypertone) suffer from metabolic problems (such as lack of oxygenation, nutrition, excess lactic acid, etc.) This causes the development of a degenerative dystrophy process in fibrous tissue fibers mainly in fascias, muscles, tendon tissue or other tissue.
Some fibers are shortened and devitalized with myofascial retractions that limit the extensibility of muscle and movements. These retractions together with spasticity cause poor postures and positions, partially block the normal growth of some part of the body and exacerbate the degenerative process of dystrophy by compressing blood vessels and peripheral nerves.
In myofascial retraction areas, the symptom of pain usually arises, causing more spasticity, which in turn favors the formation of new retractions. In this way a vicious circle is restored: “pain-spasticity-retraction-pain”.
Retractions can be more or less rigid depending on the severity of the disruptive factor and the degenerative process of dystrophy in pathological fibers.
If myofascial retractions are severe and lead to a lot of stiffness over time they cause dysplasias, dislocations, bone deformities and dysmetry. At the same time, joint contractures (joint fusion) are formed as a result of movement limitation (usually at the age of 8 – 12 years).
Doctors’ efforts to recover mostly the reversible part of brain damage and evade the sequelae do not always have the desired result at the muscle level, because there are already myofascial retractions that became independent of their causing factor (brain damage) and often only patients get relief, temporarily.
Traumatologists use different corrective techniques for such retractions and their sequelae, ranging from thetomies to osteotomies and reconstructive operations on the bone-tendinous apparatus that can be quite invasive. The results of these operations are not always efficient and are sometimes even counterproductive (lax feet, recurvatum, excessive abduction, etc.).
Selective and closed myotenophasciotomy is a minimally invasive intervention, which allows the muscles to be freed from myofascial retractions by sectioning only shortened fibers. The intervention is performed with a fine scalpel by percutaneous access and with great precision (without opening and thus avoiding the subsequent suture and scarring). All this respecting healthy tissues and their layers.